Post miscarriage symptoms: what to know

Bleeding may resemble a heavy period at first and can lessen over time. Cramping happens as the uterus contracts, and tiredness, breast tenderness or nausea may take time to settle. Emotional symptoms such as sadness, shock, irritability or anxiety are also common responses to loss.

Symptoms alone cannot confirm whether the miscarriage is complete. A clinician may use an examination, pregnancy testing or Transvaginal Ultrasound to check the uterus and guide follow-up.

Rest when you need to, drink fluids and use pain relief only as advised for you. Track bleeding, pain, temperature and any unusual discharge so you can describe changes accurately. Use sanitary pads while bleeding if your clinician recommends them, and follow the advice you were given about sex, tampons and exercise.

If tissue remains or symptoms do not settle, your clinician may explain Medical Management of Miscarriage or Surgical Management of Miscarriage. Emotional support from a trusted person or counsellor can be as valuable as physical follow-up.

Get urgent medical help for very heavy bleeding, severe or one-sided pain, fainting, dizziness, fever, chills, foul-smelling discharge or feeling seriously unwell. Seek assessment if bleeding or pain is worsening rather than easing. Emergency care is also appropriate if you feel unsafe because of overwhelming distress or thoughts of self-harm.

How do I know whether the miscarriage is complete? Which symptoms should improve first? When should I have follow-up testing or an ultrasound? What pain relief is suitable for me? When can I return to usual activity, sex or trying for pregnancy?